Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.
Read our methodology →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
8,042
Total Claims
$602K
Drug Cost
363
Beneficiaries
$1,659
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 1,414 Sports Medicine providers
+321%
Opioid rate vs peers
63.8% vs 15.2% avg
+1327%
Cost per patient vs peers
$1,659 vs $116 avg
+416%
Brand preference vs peers
6.9% vs 1.4% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid rate is 321% above Sports Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Cost per patient is 1327% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
63.8%
Opioid Rate
5,131
Opioid Claims
$490K
Opioid Cost
24.7%
Long-Acting Rate
This provider's opioid prescribing rate of 63.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 558 claims · $353K
Generic: 7,484 claims · $249K
Patient Profile
65
Avg Age
58%
Female
1.73
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About